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DEPARTMENT OF INSURANCE
Affiliations
Name
Crotty, Peter J
DOIID
346489
NAIC NPN
2204819
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
8/12/2023
5/31/2025
Active
Non Resident
Agent
Variable Life and Variable Annuities
8/12/2023
5/31/2025
Inactive
Non Resident
Agent
Health
10/22/2021
5/31/2023
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
03/15/2025
05/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company
301585
Agent - Health
8/6/2004
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
8/6/2004
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
8/6/2004
10/25/2012
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
12/16/2014
5/4/2015
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
12/16/2014
5/4/2015
Inactive
American-Amicable Life Insurance Co. of Texas
300257
Agent - Life
3/13/2017
6/19/2017
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Health
12/29/1997
6/25/2014
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
3/4/2015
2/1/2021
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Variable Life and Variable Annuities
3/4/2015
12/15/2020
Inactive
Banner Life Insurance Company
301696
Agent - Life
12/3/2014
9/5/2017
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
10/29/1998
4/14/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
10/29/1998
4/14/1999
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/2/2014
12/5/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
10/17/1996
4/16/2001
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
10/17/1996
4/16/2001
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
4/2/2014
12/5/2014
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
4/8/2015
12/29/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
4/8/2015
5/31/2021
Inactive
Everlake Life Insurance Company
300873
Agent - Health
8/20/2012
10/15/2014
Inactive
Everlake Life Insurance Company
300873
Agent - Life
8/20/2012
10/15/2014
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
8/20/2012
10/15/2014
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
10/29/1998
12/18/2000
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
10/29/1998
12/18/2000
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
7/12/2012
8/31/2017
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
7/12/2012
8/31/2017
Inactive
Gerber Life Insurance Company
300529
Agent - Health
6/23/2014
5/31/2021
Inactive
Gerber Life Insurance Company
300529
Agent - Life
6/23/2014
5/31/2021
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
4/2/2014
12/5/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
4/2/2014
12/5/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
4/2/2014
12/5/2014
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/10/2012
9/23/2013
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/10/2012
9/23/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/2/2014
12/5/2014
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/2/2014
12/5/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
8/20/2012
10/15/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
8/20/2012
10/15/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
8/20/2012
10/15/2014
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
6/29/2012
9/20/2012
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Variable Life and Variable Annuities
6/29/2012
3/8/2021
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
7/15/1991
2/20/2012
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
7/15/1991
2/20/2012
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
5/6/2014
5/31/2021
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
5/6/2014
5/31/2021
Inactive
Midland National Life Insurance Company
300923
Agent - Health
6/18/2010
4/12/2021
Inactive
Midland National Life Insurance Company
300923
Agent - Life
6/18/2010
5/31/2021
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
3/22/2018
5/31/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Health
9/26/2011
5/31/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Life
9/26/2011
5/31/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
9/26/2011
5/31/2021
Inactive
Prudential Insurance Company of America
300784
Agent - Health
4/4/2011
12/26/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Life
4/4/2011
12/26/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
12/5/2011
12/26/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/9/2017
5/31/2021
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/9/2017
5/31/2021
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
10/9/2017
5/31/2021
Inactive
Security Benefit Life Insurance Company
300583
Agent - Health
10/25/2021
5/31/2023
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
10/25/2021
5/31/2023
Inactive
Security Benefit Life Insurance Company
300583
Agent - Variable Life and Variable Annuities
10/25/2021
5/31/2023
Inactive
State Life Insurance Company
301497
Agent - Health
6/12/2012
1/18/2018
Inactive
State Life Insurance Company
301497
Agent - Life
6/12/2012
1/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
12/16/2013
7/23/2016
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
12/16/2013
7/23/2016
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
12/16/2013
7/23/2016
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
3/16/2004
8/16/2005
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
3/16/2004
8/16/2005
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
3/16/2004
8/16/2005
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
2/1/2013
7/15/2015
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
2/1/2013
7/15/2015
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
6/21/2012
6/17/2015
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Health
6/21/2012
6/17/2015
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
6/21/2012
6/17/2015
Inactive
Lincoln Investment Planning, LLC
400826
Agent - Life
9/17/2010
9/28/2011
Inactive
Lincoln Investment Planning, LLC
400826
Agent - Health
9/17/2010
9/28/2011
Inactive
Lincoln Investment Planning, LLC
400826
Agent - Variable Life and Variable Annuities
9/17/2010
9/28/2011
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